Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11604 | Date 03/06/2024 |
| Token No | SM/25-26/685 09/06/2025 | Serial | 001 |
| Patient Name | Mrs. MAYA CHATTERJEE | Contact No | |
| Address | NANDI MATH | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||